结核病患者进入重症监护室的死亡风险因素
1Department of Respiratory Medicine, Hebei Medical University Third Hospital, Shijiazhuang, Hebei, China. chengang.8@hotmail.com.
European review for medical and pharmacological sciences
|February 2, 2024
概括
进入重症监护室 (ICU) 的结核病患者死亡率高达78.79%. 死亡的关键风险因素包括长时间的ICU住院,休克,高APACHE II分数和低专蛋白水平.
科学领域:
- 关键护理医学 关键护理医学
- 传染性疾病 传染性疾病
- 肺部病理学 肺部病理学
背景情况:
- 结核病 (TB) 是一个重大的全球卫生挑战.
- 患有严重结核病的患者通常需要进入重症监护室 (ICU).
- 了解这一群体的死亡率和风险因素对于改善结果至关重要.
研究的目的:
- 调查结核病患者进入ICU的死亡率.
- 确定与这些患者死亡率相关的独立风险因素.
主要方法:
- 从结核病患者的临床数据回顾分析入住了ICU.
- 从2015年至2020年期间从河北胸部医院收集的数据.
- 统计分析以确定死亡率和风险因素.
主要成果:
- 共有99名结核病患者被送往重症监护室.
- 28天死亡率为78.79% (99名患者中有78人死亡).
- 在ICU停留时间,休克,APACHE II评分和白蛋白水平 (p <0.05) 中观察到显著差异.
- 死亡的独立风险因素包括长时间的ICU停留,休克,高的APACHE II分数和低的白蛋白.
结论:
- 在中国,需要接受ICU治疗的结核病患者的死亡率特别高.
- 长时间的ICU停留,高的APACHE II分数,休克的发展和低的白蛋白水平是死亡率的重要预测因素.
- 这些发现强调了需要密切监测和及时干预高风险结核病患者在ICU的需要.
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